Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 200500161 | NC |
N | 208600000X | Surgeon | 200500161 | NC |
Y | 2086X0206X | Surgical Oncologist | 35095235 | OH |
N | 2086X0206X | Surgical Oncologist | TRN13554 | FL |
NPI | 1164641759 |
---|---|
Provider Name | Rajendra Sunao Bhati |
First Address | Marietta, OH 45750-9549 |
Second Address | Belpre, OH 45714-1068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000711856 | ANTHEM (01) | OH |
000000714914 | ANTHEM (01) | OH |
251374 | (02) | NC |
3136823 | (05) | OH |
3810019471 | (05) | WV |